Courtney Roth, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Knoxville, Tennessee. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Health System, Inc. and her current practice location is
1926 Alcoa Hwy Ste 370, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 305-5622.
Courtney Roth is licensed to practice in Tennessee (license number 23255) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033622725.
Physician's Profile
| Full Name | Courtney Roth |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 1926 Alcoa Hwy Ste 370, Knoxville, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Courtney Roth graduated from medical school in 2012
NPI Data:
- NPI Number: 1033622725
- Provider Enumeration Date: 11/16/2017
- Last Update Date: 11/16/2017
Medicare PECOS Information:
- PECOS PAC ID: 9638434897
- Enrollment ID: I20180517002895
Medical Identifiers
Medical identifiers for Courtney Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033622725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | 23255 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 23255 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Health System, Inc. | 5294646378 | 531 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Courtney Roth allows following entities to bill medicare on her behalf.
| Entity Name | University Health System, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790738763
PECOS PAC ID: 5294646378
Enrollment ID: O20031111000809 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Courtney Roth is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Courtney Roth, NP
9307 Daybreak Dr,
Knoxville, TN 37931-4202
Ph: (865) 567-6852 | Courtney Roth, NP
1926 Alcoa Hwy Ste 370,
Knoxville, TN 37920-1552
Ph: (865) 305-5622 |
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